Individual
AIZEYOSABO F OBAMEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
961 ARNET AVE, UNION, NJ 07083-7601
(908) 265-2911
Mailing address
961 ARNET AVE, UNION, NJ 07083-7601
(908) 265-2911
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
025371
NY
225X00000X
Occupational Therapist
Primary
46TR00971600
NJ
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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